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Is it safe to take Z pack while breastfeeding?

Understanding the Safety of Z-Pak While Breastfeeding
When it comes to managing health issues during breastfeeding, many mothers find themselves questioning the safety of various medications. One common antibiotic, azithromycin, often marketed under the brand name Z-Pak, raises concerns among nursing mothers. The question remains: Is it safe to take a Z-Pak while breastfeeding?
The Basics of Azithromycin
Azithromycin is a macrolide antibiotic frequently prescribed to treat bacterial infections, including respiratory infections and strep throat. Its effectiveness and relatively mild side effect profile make it a popular choice among healthcare providers. However, its use during breastfeeding warrants careful consideration.
Excretion into Breast Milk
Research indicates that azithromycin is indeed excreted into human breast milk, but the levels are generally low. According to the Drugs and Lactation Database (LactMed), the concentration of azithromycin in breast milk is not expected to cause adverse effects in breastfed infants, especially since infants have been safely treated with higher doses of the drug. This suggests that while the medication does pass into breast milk, the amounts are typically not significant enough to pose a risk.
Recommendations from Experts
Experts, including those from the NHS, advise that while azithromycin can be used during breastfeeding, it should be approached with caution. The decision to use this medication should be made collaboratively between the mother and her healthcare provider, weighing the benefits of treatment against any potential risks.
Furthermore, monitoring the infant for any gastrointestinal disturbances, such as vomiting or diarrhea, is recommended, as these could indicate a reaction to the medication.
Caution and Consultation
While many mothers report no serious side effects from taking a Z-Pak while breastfeeding, it is crucial to consult with a healthcare professional before starting the medication. Some sources suggest that azithromycin should only be taken if deemed necessary by a doctor. This is particularly important for mothers who may have infants with underlying health issues or those who are particularly sensitive to medications.
Conclusion
In summary, taking a Z-Pak while breastfeeding is generally considered safe, provided that it is done under medical supervision. The low levels of azithromycin in breast milk and the lack of serious side effects reported in breastfeeding mothers support its use. However, as with any medication, individual circumstances vary, and a thorough discussion with a healthcare provider is essential to ensure the health and safety of both mother and child.

Does clindamycin pass through breast milk?

Clindamycin gets into breastmilk in small amounts when women are given clindamycin orally (by mouth) or intravenously (IV). In those situations, clindamycin might cause some gastrointestinal (GI) effects in a breastfeeding (e.g. nausea, diarrhea, stomach pain, vomiting, diaper rash, thrush, or rarely bloody stools).

Can antibiotics make your milk supply drop?

Occasionally women are given medications that can interfere with their milk supply. A common clinical scenario is a woman who has an overwhelming allergic reaction to something, such as an antibiotic given to her for mastitis.

When should you not take a Zpack?

liver or kidney problems. heart problems, including irregular heartbeats (arrhythmia) ever had diarrhoea when you have taken antibiotics before. myasthenia gravis – azithromycin can make the symptoms of this muscle-weakening condition worse.

How long after taking antibiotics can I breastfeed?

In most cases, you can safely breastfeed after you have been taking antibiotics for about two weeks and have been told by your doctor that you are no longer infectious.

Which antibiotics are safe for breastfeeding?

The following antibiotics are all safe to take whilst breastfeeding;

  • Amoxycillin, Amoxil ®,
  • Azithromycin, Zithromax®,
  • Cefaclor, Distaclor®,
  • Cefuroxime, Zinnat®
  • Cephalexin, Cefalexin, Keflex®,
  • Cephradine, Velosef®,
  • Clarithromycin, Klaricid®,
  • Co-amoxiclav, Augmentin®,

Can clindamycin affect my baby?

Clindamycin has the potential to cause adverse effects on the breastfed infant’s gastrointestinal flora. If oral or intravenous clindamycin is required by a nursing mother, it is not a reason to discontinue breastfeeding, but an alternate drug may be preferred.

What is not recommended for breastfeeding?

Medical Contraindications for Breastfeeding
There are a few medical contraindications to breastfeeding, and these include: An infant who has the metabolic disorder of classic galactosemia (galactose 1-phosphate uridyltransferase deficiency). A mother living with human T-cell lymphotrophic virus type I or type II.

What happens to babies when breastfeeding on antibiotics?

This may be because antibiotics may deplete the “good” bacteria in your baby’s gut. Keep in mind that this effect is usually short lived, not harmful, and not a given. Also, keep in mind that breast milk is great for your baby’s gut health, so it’s important to continue breastfeeding.

Can you take a Zpack while breastfeeding?

Azithromycin and breastfeeding
If your doctor or health visitor says that your baby is healthy, it’s OK to take azithromycin while breastfeeding. Azithromycin passes into breast milk in small amounts. It has not been known to cause any side effects in breastfed babies.

Which drug is usually avoided with breastfeeding?

Table. Examples of drugs contraindicated in breastfeeding.

Drug Comment
Iodine High doses (>150 micrograms daily) lead to risk of infant hypothyroidism
Lithium Breastfeeding only feasible with rigorous monitoring
Radiopharmaceuticals Contact obstetric information service
Retinoids (oral) Potential for serious adverse effects
Natasha Lunn

Tash is an IBCLC and Business Coach helping fellow IBCLCs create fun, profitable businesses that are more than just an expensive hobby. Before becoming an IBCLC and starting her private practice - The Boobala, Tash graduated as an Osteopath in 2008 and has been in Private Practice in South West Sydney. She was also a volunteer Breastfeeding Counsellor and Community Educator with the Australian Breastfeeding Association for 6 years. Through her business, Your Lactation Biz, Tash coaches and creates products to help new and seasoned IBCLCs build businesses that suit their personality and lifestyle.

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